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The document is an application for subsidized child care in Pennsylvania, aimed at assisting low-income families with child care costs. It outlines eligibility requirements, including residency, income guidelines, and the necessity of employment or training. The application process is detailed, providing instructions on how to complete and submit the form, as well as information on required documentation. Additionally, it includes sections for personal information, household details, and permissions for sharing information with other early learning programs.

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